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Individual

KEITH WILLIAM BELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
2084 NE PROFESSIONAL CT, BEND, OR 97701-6077
(541) 383-3005
(541) 383-1883
Mailing address
600 SW COLUMBIA ST, SUITE 6210, BEND, OR 97702-1099
(541) 383-3005

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA150075
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500641592
OR
Enumeration date
07/16/2010
Last updated
07/21/2022
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